Stillwater Dermatology Clinic
NPI #1467487132 in Stillwater, Oklahoma
Provider Information
- NPI Number
- 1467487132
- Entity Type
- Organization
- Organization Name
- Stillwater Dermatology Clinic
- Primary Specialty
- Dermatology
- Enumeration Date
- Jul 11, 2006
- Last Updated
- Jan 6, 2017
Practice Location
- Address
- 1329 S SANGRE RD
- City
- Stillwater
- State
- Oklahoma
- ZIP Code
- 74074-1854
- Phone
- (405) 533-3376
Authorized Official
- Name
- THOMAS CARL HALL, MD
- Title
- PHYSICIAN/OWNER
- Phone
- (405) 533-3376
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
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